CERTIFICATE OF INSURANCE (075)
02/13/86
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Florida Suncoast Insurance Agency,
Inc.
121 No. Osceola Ave., Suite 304
Clearwater, FL 33515-6895
COMPANIES AFFORDING COVERAGE
COMPANY A
LETTER
Travelers
INSURED
COMPANY B
LEITER
Associated Industries of. Florida
Lambaton, Inc. d/b/a The New
Tansey Co.
P.O. B ox 8 0 7
Tarpon Springs, FL 33589
COMPANY C
LETTER
COMPANY D
LETTER
E
TYPE OF INSURANCE POUCY NUMBER
POliCY EFFECTM POLICY EXPIRATION
DATE (MM/DDIYY) DATE (MMIDOIVY)
$
PROPERTY $ $
DAMAGE
3/ 1 /8 5 3/1/86 BI & PO $500 $ 500
COMBINED
PERSONAL INJURY $ 500
IlOOl V
INJJRY $
(PER ~
3/1/85 3/1/86 OODLV
INJURY $
(PER ACCIDENT)
~~~~~TY $
BI & PO $500
COMBINED
BI & PO $
COMBINED
GENERAL UABILITY
COMPREHENSIVE FORM
PREMISES/OPERATIONS
UNDERGROUND
EXPLOSION & CDUAPSE HAZARD
PROOUCTS/CDMPLETED OPERATIONS 6 5 0 - 9 3 4 F 0 6 3 - 5 - I N D - 8 5
CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS (PRIV, PASS.) 6 5 0 - 9 3 4 F 0 6 3 - 5 - I N D - 8 5
ALL OWNED AUTOS (OTHER THAN)
PRIV. PASS,
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
O]HER THAN UMBRELLA FORM
WORKERS' COMPENSATION
AI\IU
830-2841
EMPLOYERS' LIABILITY
3/1/85 3/1/86
OTHER
DESCRIPTION OF OPERA TIONSlLOCA TIONSNEHICLESlSPECIAL ITEMS
6-1-174B6
Clearwater Marina
24 Causeway Blvd.
Clearwater, Florida
.
City of Clearwater
P. O. Box 4748
Clearwater, FL 33518